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Policy Number: BAS56380327 <br />COMMERCIAL AUTO <br />CA 88 62 01 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERS TO US <br />This endorsement modifies insurance provided sander the following: <br />BUSINESS AUTO COVERAGEFORM <br />GARAGE COVERAGE F0RM <br />The Transfer Of Rights of Recovery Against Others To Us Condition does not apply to the person(s), or <br />organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the <br />"accident" or the "loss" Lander a contract with that person or organization. <br />SCHEDULE <br />Name(s) of Person(s) or Organization(s); <br />The City of Santa Ana, its officers, employees and agents <br />20 Civic Center Plaza, Santa Arta, CA 92701 <br />(If no name appears above, the information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement). <br />Z /0 6/z, 6� 7 <br />(�) 2013 Liberty Mutual Insurance <br />CA 88 62 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 <br />